A list of the most recent deficiencies for Mill-Pond. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-01 | 2023-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-01 | 2023-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-23 | 2023-03-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-23 | 2023-03-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-01 | 2023-03-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-01 | 2023-03-07 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-03-01 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-01 | 2023-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-27 | 2021-10-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-27 | 2021-10-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-27 | 2021-10-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-27 | 2021-10-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-27 | 2021-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-27 | 2021-10-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-27 | 2021-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-28 | 2021-09-29 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-21 | 2020-02-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-01-15 | 2020-01-24 | N |
